Alternatives to Aithent

Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

Guidewire ClaimCenter stands out as a premier claims management platform aimed at optimizing the complete claims lifecycle for property and casualty (P&C) insurers. It encompasses a wide array of functionalities, spanning from the initial claim intake phase to final resolution, which empowers insurers to handle claims both swiftly and with precision. Among its notable features are automated workflows, integrated analytics, real-time performance tracking, and fraud detection capabilities, all of which work together to enhance operational effectiveness while boosting customer satisfaction levels. ClaimCenter caters to multiple insurance sectors, such as personal, commercial, and workers' compensation, and can be utilized independently or as a component of the Guidewire InsuranceSuite. By utilizing ClaimCenter, insurers not only expedite the claims process but also gain insights for informed decision-making and remain agile in response to shifting market conditions. Its implementation can lead to significant improvements in both efficiency and overall service delivery for insurers.

Creatio is a global vendor of a no-code platform to automate workflows and CRM with a maximum degree of freedom. Featuring an intuitive no-code UI builder, a drag-and-drop business process builder, and a variety of built-in tools for workflow automation, the Creatio platform allows you to create business applications of any complexity and scale - addressing both structured and unstructured industry workflows, rich reporting, diverse machine learning use cases, and flexible analytical dashboards. With Creatio, the development effort for such applications is reduced by up to 10 times! Additionally, Creatio provides a marketplace of ready-to-go solutions, connectors, and templates for popular business needs and use cases. The Creatio platform is built on a modern technology stack, which offers maximum degree of freedom to integrate the platform within your organization’s digital ecosystem. Creatio CRM is a full-fledged suite of products for marketing, sales, and service automation integrated on one no-code platform. Creatio products can be deployed as a single CRM bundle or as standalone solutions to fit your company’s exact needs.

A robust management system is essential for your agency as it serves as its foundation, necessitating a platform that can efficiently oversee your entire operations while adapting to your growth. Applied Epic® stands out as the most widely utilized management software globally, providing comprehensive oversight of your agency across various roles, locations, and lines of business, which includes both property and casualty as well as benefits. With our browser-native Applied Epic software, your team can effortlessly access vital data, reduce software maintenance demands, and swiftly harness the advantages of new features. Construct your agency on a platform that streamlines back-office functions, keeps your front office sales team in sync, and seamlessly integrates with customer service and insurer connectivity solutions. Ensure that your staff enjoys a user-friendly experience, allowing them to efficiently access account and policy information, generate quotes, submit claims, and handle renewals with just a few clicks. This efficiency not only enhances productivity but also boosts employee satisfaction as they navigate their tasks with ease.

Enhance your operational effectiveness and automate processes confidently by integrating timely and dependable insights into your claims management system. Utilize Claims Compass, a versatile platform that connects multiple solutions seamlessly, to incorporate these crucial insights directly into your system. By leveraging this platform, you can accelerate cycle times and refine the claims handling workflow, all while minimizing costs through access to comprehensive data and analytics. Streamlining your workflows allows for the application of advanced analytics, providing valuable intelligence that fosters improved decision-making throughout the claims process. Additionally, bolster your fraud prevention efforts by utilizing predictive analytics, sophisticated investigation techniques, and effective medical provider management tools. Ultimately, ensure a quicker restoration of your customers’ satisfaction by harnessing a claims management system that offers unmatched processing capabilities. This comprehensive approach not only benefits your organization but also enhances the overall experience for your clients.

FraudShare is an innovative platform created by LIMRA aimed at tackling account takeover fraud within the financial services sector. It grants users real-time access to data on incidents and threat indicators linked to ATO attacks, allowing businesses to take proactive measures against fraudulent schemes. Users receive prompt email notifications and have the option to access data through export capabilities or an API, which streamlines the process of identifying and averting similar attacks. The platform's correlation analysis features enable organizations to identify and connect related incidents, revealing additional threat indicators that are essential for thorough investigations. Additionally, FraudShare provides valuable industry statistics and trending insights derived from verified fraud cases, helping companies grasp the dynamics and repercussions of ATO fraud. This wealth of information empowers organizations to make strategic choices to bolster their fraud prevention efforts and stay ahead of evolving threats in the financial landscape. Ultimately, FraudShare serves as an essential tool for enhancing collective defenses against increasingly sophisticated fraud tactics.

360Globalnet's acclaimed no-code digital claims platform, 360SiteView, empowers insurers to seamlessly manage and automate the complete claims journey from the First Notice of Loss (FNOL) to the final settlement. This comprehensive digital solution enables customers to submit and track their claims through an intuitive, incident-specific template available on a website, app, or via a contact center. By leveraging video, images, and documents, the platform optimizes the claims process, which leads to reduced lifecycle times and improved customer satisfaction. A fully automated customer portal ensures that clients receive updates on their claim status without needing to remember extra logins or passwords. With nearly complete configurability, 360SiteView allows operational teams to create and implement digital workflows without requiring technical skills. It accommodates a diverse range of claim types, including but not limited to motor, property, casualty, travel, pet, warranty, commercial, engineering, aviation, and marine, making it a versatile solution for insurers. Furthermore, its user-friendly design and adaptability mean that it can evolve with the changing needs of the insurance industry.

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

There is a better way of managing fraud and disputes. Quavo's Disputes is a service that combines automated software, human intelligence services and AI technology to automate your fraud or dispute process. Stop letting regulatory deadlines and manual processes hold you back. Quavo allows financial institutions and Fintech companies to reduce losses, ensure compliance and deliver real-time solutions, while drastically reducing operational overhead. Automate for tomorrow, now. It is time to modernize your dispute and fraud management processes. Quavo's Disputes as a Service service allows you to leverage automation, AI technology, human intelligence solutions, and manual workflows. Quavo's experts review pages of regulatory bulletins to apply the most recent updates to our software, so your team can concentrate on their strategic business goals.

Wisedocs offers a document processing platform that empowers insurance companies, independent medical evaluation firms, and legal entities to handle claims more quickly, accurately, and efficiently. The platform automatically organizes medical records by various criteria such as date, service provider, title, and category. Additionally, it features automated page duplication, which can save up to 30% in both time and costs associated with processing redundant pages. Navigating the administrative challenges of reviewing and sorting medical records can often be daunting, but Wisedocs simplifies this process for insurance, legal, and medical organizations. By creating a tailored medical record index, Wisedocs provides valuable insights that cater to specific requirements. Users can easily access critical information through records that are searchable and indexed, resulting from the medical record review and intelligent summary features. This streamlined approach not only enhances productivity but also helps firms make more informed decisions based on comprehensive data.

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

Oracle's Digital Insurance Platform equips insurance companies with the tools needed to create cutting-edge solutions and outstanding digital experiences for customers. This all-encompassing system simplifies everything from sales channels to back-office functions, allowing for quick introduction of new products and easy adaptation to changes. By leveraging real-time analytics, insurers can acquire critical insights that support better decision-making processes. The platform accommodates both individual and group life insurance, as well as annuities, by integrating underwriting, policy management, billing, and claims handling into one streamlined system. Health insurance providers experience enhancements in enrollment procedures, premium billing, and claims processing, which leads to greater member satisfaction thanks to clear and tailored services. Furthermore, the platform improves the bancassurance process by facilitating immediate connectivity between banks and insurance firms, which guarantees efficiency, uniformity, and trust. This interconnected approach fosters a more dynamic insurance environment, ultimately benefitting both providers and their clients.

In the modern era of global connectivity, organizations from various industries face a multitude of challenges that require consistent focus and innovative strategies. These widespread concerns demand immediate attention and effective approaches to resolve them. Revenue assurance issues primarily focus on the necessity of ensuring that organizations effectively collect and account for every dollar they are due. This includes the critical tasks of discovering and gathering all potential revenue streams while also safeguarding against losses caused by errors, fraud, or operational inefficiencies. It is essential to manage disputes, chargebacks, and refunds to uphold customer trust and confidence. Moreover, maintaining precise records is vital to prevent discrepancies in revenue. Compliance with agreements is crucial to avert any potential revenue leakage, while accurate billing practices are necessary to minimize financial losses. In the public sector, effectively managing budgets plays a key role in guaranteeing proper allocation of resources. Additionally, preventing unauthorized transactions and fraudulent claims is essential for maintaining financial integrity. Organizations must also comply with industry regulations to steer clear of penalties and protect their reputation. Furthermore, tackling the issues presented by large volumes of unstructured data can significantly enhance overall performance and decision-making processes. By addressing these challenges, organizations can position themselves for greater success in an increasingly complex environment.

Daisee develops technology to give you deep insight into the behavioural, emotional, and commercial dynamics of your customers. Daisee automatically scores all customer interactions using a digital quality scorecard that is the first of its kind. This automatically identifies quality assurance issues that need human intervention in areas such as compliance, communication, and conduct. Daisee allows you to see beyond words and uncover the emotion deep within your interactions. It reveals what your customers really think, feel, and are saying. Daisee is software that can be easily deployed across any telephony system and can help organisations immediately create business value. Globally Daisee is available in Australia, New Zealand, and the USA.

ClaimScore stands out as the sole independent software solution focused on tackling the growing issue of claim fraud within class action settlements. Each claim is meticulously assessed on an individual basis through our unique AI, ML, and Cloud Architecture in real-time, with results displayed instantly on an interactive dashboard. Initially, every claim starts with a ClaimScore of 1,000, which diminishes whenever it does not meet a specific criterion. These criteria are assigned either fixed or variable weights based on their relationship to fraudulent and legitimate claims. To enhance transparency, every claim is accompanied by deduction codes that correspond to the failed criteria, ensuring that all involved parties, including the administrator and the court, are fully informed of the precise reasons behind any claim rejection. This meticulous approach not only fosters trust among stakeholders but also reinforces the integrity of the claims process.

An automated claims platform that operates seamlessly from start to finish, leveraging AI-driven decision models for tasks such as data collection, policy and coverage verification, medical coding, and consistency assessments. Our advanced AI models are designed to minimize losses and enhance your loss ratios by effectively detecting fraud, waste, and abuse in health and life insurance sectors. Qantev empowers insurers globally by improving operational efficiency, curbing losses, and elevating client satisfaction. By integrating artificial intelligence with deep medical knowledge, our dedicated team of data scientists and engineers has created cutting-edge solutions that streamline the claims management process while identifying fraudulent activities. Our specialized AI tools are adept at capturing, cleansing, enhancing, and digitizing data from a variety of claims documents in multiple languages. Additionally, we bolster the performance of your medical provider network with automated insights, identifying pricing gaps, recommending strategies, simulating different scenarios, and much more to optimize outcomes. This holistic approach ensures that insurers not only respond to claims effectively but also proactively prevent potential issues before they arise.

Klear.ai stands out as a cutting-edge software solution tailored for claims and risk management, leveraging the power of native artificial intelligence. This all-encompassing platform integrates various aspects such as risk management, claims administration, analytics, auditing, and policy management, with the goal of optimizing operations and bolstering decision-making capabilities. Through its AI-driven predictive analytics, Klear.ai empowers organizations to foresee potential challenges, uncover hidden risks, and receive actionable recommendations, leading to more informed decisions and favorable results. The user-friendly interface and adaptable features of Klear.ai ensure that it can be customized to meet the specific needs of different businesses, creating a seamless user experience. By employing sophisticated machine learning algorithms, the software automates various workflows, minimizes manual tasks, and continuously enhances its processes by learning from new information. Furthermore, Klear.ai includes powerful fraud detection tools that significantly aid organizations in reducing unnecessary financial losses, strengthening their overall risk management strategies. Ultimately, Klear.ai positions itself as an indispensable tool for businesses seeking to enhance their operational efficiency and risk management prowess.

eOxegen is an innovative claims management system powered by artificial intelligence, aimed at improving the efficiency of health insurance operations. By automating the claims process through a Straight Through Process (STP), it minimizes the need for manual intervention, resulting in quicker claim settlements and higher accuracy. The system features sophisticated fraud detection capabilities, leveraging AI algorithms to detect and flag potentially fraudulent activities at an early stage. Furthermore, eOxegen includes functionalities such as provider contracting and empanelment, management of pre-authorizations and adjudication, as well as comprehensive reporting through business intelligence analytics dashboards. Its AI-driven workflow automation guarantees consistent task execution, reduces repetitive activities, and boosts overall productivity. In integrating these diverse functionalities, eOxegen enables insurance providers and third-party administrators to refine their claims management processes while also lowering operational costs. Ultimately, the platform serves as a transformative tool for the health insurance industry, fostering a more efficient and reliable claims handling environment.

Skopenow rapidly generates thorough, court-admissible reports on individuals and organizations by gathering and examining publicly accessible information from a variety of data sources, which include social media platforms, the dark web, linked vehicles, legal records, and contact information. By building a digital footprint for your subject, you can gather and organize pertinent information and metadata into an automated report, allowing you to initiate your investigation promptly once the report is available. The process automates the searching, collection, organization, and analysis of open-source data. Additionally, you can utilize indicators like behaviors and keywords to compile a dynamic digital footprint from publicly accessible information, aiding in making well-informed decisions. Moreover, the platform allows for the identification of connections between a subject’s acquaintances and business ties by performing advanced scans of social media profiles, posts, and digital interactions, enhancing the depth of your investigation. This comprehensive approach significantly streamlines the investigative process, ensuring you have all necessary information at your fingertips.

Claims Signal™ represents a revolutionary open claims quality solution developed by Aon and Athenium Analytics, designed to help insurers detect high-risk claims at an earlier stage. By improving the experience for policyholders, this platform can lead to a significant enhancement in claims indemnity and expenses, estimated between 4% to 6%. In today's fast-paced insurance environment, claims teams face mounting pressure to elevate customer satisfaction, streamline operations, and minimize financial leakage. While routine quality audits can effectively highlight root causes and deviations from optimal practices, the feedback from these audits may not be accessible for weeks or even months post-claim closure. Imagine having the ability to continuously monitor open claims and resolve quality concerns before they negatively impact results. The Claims Signal platform leverages advanced artificial intelligence to scrutinize open claims, identify potential problems, and send immediate alerts, empowering front-line managers to take action before a claim reaches conclusion. With the integration of predictive analytics and timely alerts, insurers can achieve a reduction in claims leakage of up to 4%, ultimately transforming the claims management process. This proactive approach not only enhances operational efficiency but also fosters a culture of continuous improvement within claims teams.

In recent years, the significance of fraud detection and prevention has surged due to the increasing digitalization trends worldwide, particularly affecting financial systems. As innovative technologies and standards emerge, businesses face heightened challenges in safeguarding their clients from fraudulent activities while upholding their reputations. Consequently, the complexities surrounding fraud issues have intensified, necessitating a more advanced approach to address them effectively. With over two decades of expertise in the payments and anti-fraud sector, we provide comprehensive anti-fraud solutions tailored for banks, financial organizations, factoring firms, insurance providers, telecom companies, FMCG enterprises, and retail sectors. Our InACT® application is designed as a versatile tool that actively monitors and mitigates transactional fraud, prevents internal misuse, and identifies operational errors or transactions that violate legal standards. By implementing InACT®, institutions can ensure robust protection for both their operations and their customers against fraudulent activities, ultimately fostering trust and security in their transactions.

IBSuite supports the entire insurance cycle, from initial quotes to binding, while also managing comprehensive policy administration, effective claims processing, and billing, empowering clients to operate a robust insurance enterprise and swiftly launch innovative customer experiences and digital business models in a cost-effective manner. Engage in a tailored consultation with our specialists in insurance technology, where we will investigate your specific challenges, identify potential opportunities, and formulate a plan for how IBSuite can drive your insurance business toward growth and prosperity. By optimizing the sales process and enhancing decision-making through real-time analytics and external integration, IBSuite equips insurers to swiftly respond to evolving market dynamics while ensuring compliance with industry regulations. Additionally, IBSuite offers genuine multi-channel capabilities and a customer-focused approach to designing new products and sales avenues, catering to direct sales, sub-agencies, and white-label solutions. As a result, insurance providers can elevate their service offerings and drive greater customer satisfaction. This comprehensive platform not only boosts operational efficiency but also fosters innovation in an ever-changing marketplace.

fcase is an integrated Fraud Orchestrator. This comprehensive approach to fraud management systems goes beyond simple, standalone detection into an enterprise-focused process. This holistic view of fraud data allows for standardising fraud case interactions, fraud operational processes and governance models. It also provides for performance and quality indicators to be normalised. Our next-generation technologies combine different data platforms and collect information from multiple fraud detection sources to manage fraudulent activities at an enterprise level with adaptive analytics. fcase covers all financial crime, risk compliance, and customer care systems. It centralises alerts and events to one enterprise-wide platform for all your fraud investigation reporting and compliance reporting needs. fcase consolidates multichannel fraud data, simplifies management, centralises data analytics, and significantly increases efficiency. To learn more or would like to see how we benefit fraud operations, please reach out at fraud.com.

Outseer Fraud Manager serves as a sophisticated platform for managing transactional risk, employing advanced machine learning techniques alongside a robust policy engine to effectively evaluate and minimize risks at every stage of the digital customer journey. By harnessing insights derived from cutting-edge data science technologies that have been validated in high-risk scenarios, businesses can better guard against emerging fraud patterns using exclusive consortium data. Users can take advantage of risk models that have been refined through analyzing billions of transactions across some of the largest financial institutions globally. This platform allows for seamless integration of insights derived from both authentication and payment transactions, enhancing risk scoring by incorporating both first-party and third-party data signals. With the capability to implement uniform risk controls across all customer interactions, businesses can utilize standardized risk scores to strike a balance between mitigating fraud, enhancing customer experience, and managing operational expenses. Additionally, it supports the implementation of policy adjustments in response to the ever-evolving landscape of threats. Continuous collaboration with our team of experts ensures ongoing improvements and enables comparative analysis with peers in similar sectors. Ultimately, this comprehensive approach empowers organizations to maintain a proactive stance against fraud while fostering trust with their customers.

Safeguarding against fraud and ensuring customer trust are crucial priorities for financial institutions, presenting considerable challenges in the process. Fiserv addresses these challenges with its advanced and user-friendly solution for managing financial crime and compliance. The Fraud Risk Manager™ by Fiserv delivers a comprehensive approach to fraud prevention. It seamlessly integrates advanced transaction and customer monitoring alongside a robust case management system, featuring a guided alert management process and customizable workflows. By utilizing Fraud Risk Manager, you experience the advantages of cutting-edge fraud detection technology, which includes improved accuracy, efficient analysis, and heightened operational performance. Additionally, a vast library of customizable risk perspectives and alert criteria equips you to swiftly identify and mitigate fraudulent activities. This extensive resource not only offers significant protection against financial losses due to fraud but also allows users to quickly respond to emerging fraud threats. As a result, your institution can maintain a proactive stance against potential risks in an ever-evolving landscape.

Pipl is the leading provider of online identity information in the world. Pipl SEARCH, Pipl API and Pipl API reduce customer friction and speed up case resolution. They also help to reduce fraud risks. Pipl is a service that serves fraud and investigation professionals in financial services, legal and government. Pipl has unmatched global coverage, with over 3 billion identities cross-referenced to more than 25 billion individual records to create one of the most comprehensive online identity indexes.

Transform your approach to banking fraud detection and prevention into a key competitive advantage by implementing a robust and secure enterprise-wide fraud analytics solution. To effectively retain customers and expand revenue streams, financial institutions must outpace both fraudsters and rivals in the market. Empower your fraud prevention team with advanced data science and AI capabilities, enabling them to deliver effective fraud detection and prevention across various digital channels and payment methods while ensuring a smooth payment experience. Utilize transaction risk analysis in conjunction with your access control server to successfully request exemptions, and adhere to 3DS regulations for online and card-not-present transactions. It is also vital to comply with Anti-Money Laundering (AML) laws and manage any watch list restrictions effectively. A comprehensive enterprise fraud prevention strategy is crucial to safeguarding your customers across all digital interfaces and transaction types. By proactively addressing account takeover fraud, institutions can significantly diminish the risk of financial crimes across their entire digital ecosystem, ultimately fostering trust and security for their customers.

Integrate fraud and compliance risk into a holistic solution that provides ultimate control in omnichannel environments. Protect your organization against fraud and mitigate risks. Effective is a modular, centralized hub for risk management that will get you compliant from the start and fraud-free. It uses AI & ML algorithms that adapt to changing organizational needs. One interface that integrates all the risk tools currently used. Use a unified API for fraud reduction, compliance, and operational efficiency. With a combination of internal intelligence, best-in-class services, and human intuition, you can gain critical insights and streamline the efficiency of your team. No engineering skills are required to customize fraud workflows and case management. A customizable dashboard allows you to visualize threats and monitor bad actors. Investigate suspicious activities quickly, gain insight into fraud ring behavior, and identify emerging threats.

Chainalysis is a cryptocurrency investigation software that helps law enforcement and financial institutions to identify and stop criminals using cryptocurrencies for illegal activity like money laundering and extortion. Chainalysis Reactor is an intuitive, graphical interface that allows users to conduct detailed investigations into the origin and provenance of cryptocurrency transactions. Businesses that do not have controls in place for cryptocurrency investment risk being subject to regulatory action, reputational harm, or exclusion from financial system. Businesses need an automated method to assess money laundering risk in order to meet regulatory requirements and maintain good relationships with key stakeholders. Chainalysis KYT is the cryptocurrency transaction monitor that meets this need. The interface was designed to be intuitive and comply with anti-money laundering compliance workflows.

Telecom fraud results in a staggering loss of nearly $40 billion for companies worldwide each year. A single case of fraudulent international calls can result in a substantial financial blow, costing around $50,000. Traditional manual processes are often cumbersome and fail to provide the necessary automation to swiftly identify and prevent fraud. Protector stands out as the leading fraud management system in the United States, designed through extensive experience and continuous improvements. Now in its 11th generation, this robust and adaptable solution draws on decades of expertise in fraud risk mitigation across numerous carriers. With Protector, you can effectively halt ongoing fraud, quickly investigate and resolve incidents, and achieve a significant and prompt return on investment. Enhancing its support for rapid ROI, Protector seamlessly integrates with the PRISM database of IRSF test numbers, enabling proactive blocking of IRSF attacks before they escalate. Additionally, it empowers users to pinpoint and assess suspicious network activities.

We offer seamless voice authentication and fraud prevention solutions tailored for contact centers within credit unions and community banks, enhancing performance in three key areas. Our premier product, Illuma, utilizes cutting-edge signal processing, artificial intelligence, and machine learning technologies. The voice authentication system operates discreetly in the background, quickly and efficiently confirming the identities of callers as they engage with contact center representatives. By leveraging our voice biometrics technology, we empower community financial institutions to thwart fraud attempts and prevent account takeovers with a method that is difficult to replicate or deceive. Designed specifically for community financial institutions, our technology is not only cost-effective and efficient but also secure, easy to implement, and user-friendly. Furthermore, this innovative system enables agents to minimize the time spent on the more cumbersome aspects of calls, allowing them to assist customers with their inquiries, issues, and transactions in a more expedited manner. Ultimately, our solution enhances both the customer experience and operational efficiency for financial institutions.

Prioritize the protection of your most valuable assets and enhance crucial decision-making through comprehensive digital investigations and open source threat intelligence services. With Nisos’ expert insights, you can stay proactive against emerging threats that endanger your personnel, resources, and corporate reputation. Our investigators provide best practices specifically designed to defend your organization from employment fraud schemes. Acting as an integral extension of your security, trust, safety, legal, and intelligence teams, we specialize in both digital and human risk investigations. Identify hidden risks and take a proactive stance to shield your organization while guiding your legal, M&A, employment, and partnership strategies. Safeguard against insider threats with our insights that help reduce risk and curtail potential losses. Our human risk analyses not only protect your data but also uphold workplace integrity. By fortifying your workforce and minimizing their vulnerabilities, you can successfully navigate the digital landscape and thwart threats that could escalate into physical dangers. Ultimately, staying vigilant and informed is essential for fostering a secure environment for all.

LexisNexis® MarketView™ provides medical claims-based insights tailored for healthcare payers, providers, life sciences enterprises, and health IT organizations throughout the United States. This platform offers actionable intelligence designed to enhance competitiveness, enabling businesses to uncover valuable insights and visualize transformative strategies. Regardless of whether you represent a life sciences firm, a health insurance plan, a healthcare system, or a health IT service provider, MarketView can significantly enhance critical business processes such as marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To stay ahead in the competitive landscape, your organization requires the most relevant insights available. However, determining the right areas to focus on can be challenging when the overall picture lacks clarity. MarketView addresses this issue by providing insights into various aspects such as referral trends, strategies for aligning with physicians, the performance of clinically integrated networks, and patient volume metrics, ultimately empowering organizations to make informed decisions. By leveraging these insights, businesses can drive innovation and improve their operational effectiveness.

We collaborate with private insurance providers to ensure that your therapy sessions are consistently covered. Dealing with mental health billing and health insurance should not feel like navigating a maze without a light. Nirvana simplifies the entire insurance experience, from determining eligibility to securing reimbursement, allowing you and your therapist to focus on what truly matters—your well-being. Instead of wasting precious time on lengthy phone calls with insurance companies to clarify your benefits, you can effortlessly access a comprehensive overview of your coverage right after you sign up. With Nirvana, you can easily oversee the entire claims process, tracking everything from submission to processing and adjudication. Additionally, you can filter your claims by session and date ranges to gain valuable insights into the reimbursement amounts related to your therapy sessions, ensuring you stay informed every step of the way. This way, you not only save time but also enhance the efficiency of your overall therapy experience.

EverC stands at the forefront of AI-driven risk intelligence solutions, aimed at fortifying and improving the online business landscape. Their flagship products include MerchantView, which serves as a comprehensive merchant onboarding and monitoring tool that adeptly addresses the dynamic risks associated with the merchant lifecycle, and MarketView, an automated system that detects and removes dangerous, counterfeit, and recalled items from marketplaces. EverC’s innovative technology tackles the pressing issue of online fraud, with estimates indicating that ecommerce-related fraud losses may soar to $343 billion worldwide by 2027. By providing in-depth risk assessments, EverC enables banks, payment processors, and marketplaces to foster secure growth, uphold consumer confidence, and effectively navigate the intricate world of digital commerce. Ultimately, EverC is dedicated to enhancing the online business ecosystem, striving to create a more transparent and reliable environment for ecommerce transactions. Their commitment to innovation and security is pivotal in shaping a safer future for online commerce.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

Mind Foundry, an innovative artificial intelligence firm, operates at the crossroads of research, practicality, and user-centered design to equip teams with AI solutions tailored for human needs. Established by top-tier academics, the company creates AI tools aimed at assisting both public and private sector organizations in addressing critical challenges, emphasizing human-centered results and the lasting effects of AI applications. Their collaborative platform facilitates the design, testing, and implementation of AI, allowing stakeholders to oversee their AI investments with a strong emphasis on performance, efficiency, and ethical considerations. The foundation of their approach is rooted in scientific principles, underscoring the importance of integrating ethics and transparency from the outset rather than retroactively. By blending experience design with quantitative techniques, they enhance the collaboration between humans and AI, making it more intuitive, effective, and impactful, ultimately leading to better decision-making and outcomes for all involved. This commitment to fostering a responsible AI ecosystem ensures that the technology remains aligned with societal values and priorities.

Effiya Technologies provides a wide range of solutions designed to address anti-money laundering, monitor transactions, detect fraud, and screen for sanctions within the banking and financial services industries. These specialized products are crafted from extensive business knowledge and a thorough understanding of application domains, utilizing cutting-edge technologies and software tailored for financial compliance. At Effiya Technologies, we are committed to leveraging our machine learning insights and the expertise we've amassed over years of consulting to develop business applications that assist our clients in enhancing their operations, fostering closer connections with their customers, and reaping the benefits of automation through the optimization of business processes. Our innovative approach spans diverse projects, from monitoring trees for conservation efforts to creating advanced chatbots for improved customer interaction. Additionally, our mission is to continuously adapt and evolve our offerings to meet the changing demands of the financial landscape.

Every bank and fintech requires AI fraud investigators to create a reality where fraud victims are a thing of the past, and Trident is leading the charge by providing limitless investigators to these institutions. By deploying AI agents designed specifically to combat card fraud and APP scams, our solution integrates effortlessly with your in-app dispute forms, messaging systems, and alerting mechanisms. This innovation drastically reduces fraud resolution times from several days to mere minutes, ultimately enhancing customer satisfaction. Moreover, our AI agents bolster your fraud management capabilities, ensuring that every case is addressed regardless of the volume of incidents reported. With a streamlined process for handling false positives, our detection models can identify a greater number of transactions, ensuring that real fraud is captured effectively. Additionally, our assistant can be easily incorporated with platforms like Intercom, Zendesk, or any existing case management system you may currently utilize, providing a comprehensive tool for fraud detection and resolution. By harnessing the power of AI, we can transform the landscape of fraud investigation and support banks in safeguarding their customers more efficiently than ever before.

The simplest method to authenticate identities is through Stripe Identity, which allows for the programmatic confirmation of identities for users worldwide, effectively reducing the risk of fraud while maintaining a seamless experience for genuine customers. By minimizing the presence of scammers and malicious individuals, you can enhance the trustworthiness of your marketplace or community. This solution aids your risk management teams in securely obtaining identity data to differentiate between legitimate users and fraudulent ones. It streamlines the onboarding process for users, ensuring they can easily verify their identities while also meeting essential compliance obligations. Additionally, it provides an extra layer of security when granting access to high-risk features or addressing any suspicious behaviors within an account. Built on the same technology that powers Stripe's verification of millions of global users, Stripe Identity plays a vital role in our own comprehensive Know Your Customer (KYC) procedures, risk management, and beyond. Given the complexities posed by inconsistent government ID standards, Stripe Identity helps to simplify the identity verification process for users around the globe, ensuring a safer and more reliable experience for everyone involved.

Claims and Litigation Management Software for Captive or Risk Retention Group property or casualty claims. Direct Claim Solution provides a complete system that manages vendor, claims, and policy management for Self-Insured programs, Captive programs, or Risk Pool programs. This tool provides industry-specific tools for analyzing and investigating law. Modules for litigation management, subrogation, loss recovery and document management are included. The Merge feature allows for easy email or letter creation. The robust report screen allows management to query multiple conditions of claims by date ranges, state of loss and exposure type. External service providers can access the system and populate the fields as required to speed up reporting and collaborative analysis. See our website at www.directclaimsolution.com

ClpHub stands out as a worldwide provider of cloud-based insurance solutions tailored to meet the needs of insurance firms, regardless of their size. The innovative platform features a versatile configuration tool, empowering users to create a wide range of products without undergoing a traditional development process, thereby allowing businesses to launch new offerings without any coding, development team, or technical expertise required. By streamlining business operations in policy and claims administration, ClpHub significantly cuts down on manual labor and associated costs. Additionally, the platform facilitates remote onboarding, enabling clients to complete the onboarding process without needing to visit a physical branch. It boasts an intuitive interface that enhances user experience for employees, alongside robust APIs that allow seamless integration with third-party services or customer portals linked to the insurance core. Furthermore, ClpHub's device-agnostic design ensures accessibility across various devices, including PCs, laptops, tablets, and smartphones, making it a versatile solution for modern insurance needs. With its comprehensive features, ClpHub represents a significant step forward in enhancing operational efficiency for insurance providers.

AUSIS – Comprehensive Behavioral Underwriting AUSIS empowers insurance companies to conduct thorough underwriting, scoring, and decision-making instantly. By utilizing AUSIS, businesses can experience significant decreases in costs, time, risk, and fraud while simultaneously boosting efficiency and decision-making capabilities through alternative scoring methods and additional features. Furthermore, AUSIS enhances the straight-through processing (STP) rate from non-straight-through processing (NSTP) and allows for non-invasive health data collection from various sources, including air quality index (AQI), geographical location, mortality statistics, social factors, images, videos, health monitoring devices, weather conditions, sanitation levels, and more. With AUSIS, insurance firms can achieve as much as a 40% reduction in the costs associated with issuing each policy. This innovative solution not only streamlines the underwriting process but also provides valuable insights that can lead to better risk assessment and management.

The process of filing claims is intricate and essential. Over 60% of individuals refrain from submitting complex claims due to the involved procedures and the time they require. Artivatic offers a specialized claims platform tailored to various insurance sectors, empowering companies to facilitate digital claims experiences, enable self-processing, automate evaluations, and implement risk and fraud intelligence alongside claims payouts. A SINGLE PLATFORM TO ADDRESS ALL YOUR CLAIMS REQUIREMENTS. Comprehensive Automation and Assessment for Claims. AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS – EVERY CLAIM MATTERS.